Describes the experiences of 240 early clients in Personal Preference, the state's cash and counseling demonstration. Notes that 76 percent were still enrolled at the time of the nine-month interview, 17 percent had dropped out, and 7 percent had died. More than 7 out of 10 cash recipients said...

This report presents the first impact analysis results from a three-state demonstration in which disabled Medicaid enrollees eligible for personal assistance services get a cash allowance so they can hire whom they please or use the money to buy equipment or supplies, instead of obtaining...

This report details implementation, goals and features, and consumer satisfaction with New Jersey’s Cash and Counseling program, called Personal Preference. The model proved administratively feasible and politically tenable during the evaluation period. Data from discussions with program...

Describes the experiences of the first clients to participate in Florida's Cash and Counseling Demonstration, the Consumer-Directed Care program. Notes that most clients are children (47 percent) and nonelderly adults (36 percent). Almost all (99 percent) of those who received the program's...

Finds that many in the early treatment group cohort were in relatively poor health and had high levels of functional impairment. Still, one-third lived alone, and one-quarter had no unpaid informal caregivers. Most used the monthly cash allowance to hire a caregiver on their own; the majority of...

Cash and Counseling had sizable effects on the proportion of people receiving paid care in Arkansas and New Jersey. It also had sizable effects among the nonelderly—but not the elderly—in Florida, where a higher percentage of enrollees were already receiving this type of care...

This final report of the Accelerated Benefits (AB) Demonstration found that participants made extensive use of program services, AB health care benefits increased health care use and reduced reported unmet medical needs, and AB Plus services encouraged people to look for work but did not...